Taylor Marie Vilt, PA is a medicare enrolled "Physician Assistant" physician in Shakopee, Minnesota. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Park Nicollet Clinic and her current practice location is
1415 Saint Francis Ave, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 993-7750.
Taylor Marie Vilt is licensed to practice in Minnesota (license number 14785) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184481871.
Physician's Profile
| Full Name | Taylor Marie Vilt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 1415 Saint Francis Ave, Shakopee, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Taylor Marie Vilt graduated from medical school in 2023
NPI Data:
- NPI Number: 1184481871
- Provider Enumeration Date: 02/29/2024
- Last Update Date: 12/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375983661
- Enrollment ID: I20240503001063
Medical Identifiers
Medical identifiers for Taylor Marie Vilt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184481871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 14785 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 14785 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taylor Marie Vilt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Taylor Marie Vilt, PA
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Taylor Marie Vilt, PA
1415 Saint Francis Ave,
Shakopee, MN 55379-3374
Ph: (952) 993-7750 |
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